Jefferson Dental

LBN: Jefferson Dental
Jefferson Dental is an health care organization with primary practice located at 79800 Highway 111 Ste 109 , La Quinta CA 92253-6003. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jefferson Dental can be contacted via phone (760) 775-0600, or through Huq, Syeda Shabnam via phone (760) 775-0600.

Contact Information

Primary practice address
79800 Highway 111 Ste 109 La Quinta CA 92253-6003
Phone: (760) 775-0600
Fax: (760) 775-0663
Website:
Map and Directions
Authorized official contact:
Name: Huq, Syeda Shabnam Doctor of Dental Surgery (DDS)
Phone: (760) 775-0600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 56971 California
Dental Providers / General Practice 1223G0001X 44484 California

Profile Details

NPI number 1154638500
LBN Legal business name Jefferson Dental
DBA Doing business as
Authorized official Huq, Syeda Shabnam Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2010
Last updated Sep 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154638500 NPPES
California MEDICAID 1861669533
California MEDICAID 1861612954

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